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Effect on Structural Changes in Airways, Measured by MSCT, of Twice Daily 60mg AZD9668 for 12 Weeks in Chronic Obstructive Pulmonary Disease (COPD) Patients

A 12-week, Phase II, Double-blind, Placebo-Controlled, Randomised, Parallel-Group, Multi-Centre Study to Assess the Effect of 60mg AZD9668 Administered Orally Twice Daily on Structural Changes in the Airways by Multi-Slice Computed Tomography in Patients With Chronic Obstructive Pulmonary Disease.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01054170
Enrollment
52
Registered
2010-01-22
Start date
2010-01-31
Completion date
2010-11-30
Last updated
2012-08-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Obstructive Pulmonary Disease (COPD)

Keywords

Chronic, obstructive, pulmonary, lung, respiratory disease, efficacy, placebo-controlled, COPD, FEV1, St Georges Respiratory Questionnaire, Computed Tomography, MSCT

Brief summary

The primary objective of the study is to evaluate structural changes effected by AD9668 in the airways of adults with Chronic Obstructive Pulmonary Disease (COPD) by Multi-Slice Computed Tomography (MSCT)

Interventions

2 x 30 mg oral tablets twice daily (bid) for 12 weeks

DRUGPlacebo

2 x matched placebo to oral tablet twice daily (bid) for 12 weeks

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosis of COPD with symptoms over 1 year * FEV1/FVC \< 70% and FEV1 \>= 40 and \< =70 % of predicted post-bronchodilator * Ex-smokers for at least 12 months

Exclusion criteria

* Past history or current evidence of clinically significant heart disease * Current diagnosis of asthma * Worsening of COPD requiring hospitalisation and/or treatment with antibiotics and/or an increase in inhaled steroid dose and/or oral steroids within 4 weeks of study visit 1b

Design outcomes

Primary

MeasureTime frameDescription
AWT-Pi10 (Airway Wall Thickness of a Theoretical Airway With an Internal Perimeter of 10 mm)Measured after 12 weeks treatment (day 84)AWT-Pi10 (mm) as a measure of structural changes in airways. End of treatment Least Squares Mean.

Secondary

MeasureTime frameDescription
Air Trapping Index (ATI) on Expiratory ScansMeasured after 12 weeks treatment (day 84)ATI Percentage as a measure of structural changes in airways. End of treatment Least Squares Mean.
Pre-bronchodilator Inspiratory Capacity (IC)Measured after 12 weeks treatment (day 84)Inspiratory Capacity (L) as a measure of lung function. End of treatment Least Squares Mean.
Pre-bronchodilator Total Lung Capacity (TLC)Measured after 12 weeks treatment (day 84)Total Lung Capacity (L) as a measure of lung function. End of treatment Least Squares Mean.
Pre-bronchodilator Functional Residual Capacity (FRC)Measured after 12 weeks treatment (day 84)Functional Residual Capacity (L) as a measure of lung function. End of treatment Least Squares Mean.
Pre-bronchodilator Residual Volume (RV)Measured after 12 weeks treatment (day 84)Residual volume (L) as a measure of lung function. End of treatment Least Squares Mean.
Pre-bronchodilator Specific Airway Conductance (SGaw)Measured after 12 weeks treatment (day 84)Specific Airway Conductance as a measure of lung function. End of treatment Least Squares Mean.
Pre-bronchodilator Diffusion Capacity of Carbon Monoxide (DLco)Measured after 12 weeks treatment (day 84)Capacity of Carbon Monoxide as a measure of lung function. End of treatment Least Squares Mean.
Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)Measured after 12 weeks treatment (day 84)Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).
Post-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)Measured after 12 weeks treatment (day 84)Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).
Pre-bronchodilator Forced Vital Capacity (FVC)Measured after 12 weeks treatment (day 84)Forced Vital Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).
Post-bronchodilator Forced Vital Capacity (FVC)Measured after 12 weeks treatment (day 84)Forced Vital Capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).
5th Generation Wall Area PercentageMeasured after 12 weeks treatment (day 84)5th Generation Wall Area Percentage as a measure of structural changes in airways. End of treatment Least Squares Mean.
Post-bronchodilator Slow Vital Capacity (SVC)Measured after 12 weeks treatment (day 84)Slow Vital capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).
Peak Expiratory Flow (PEF) Morning (Daily Recordings)Average from measurements recorded daily by patient in last 6 weeks of treatment.Peak Expiratory Flow (L/min) as a measure of lung function, measured at home by the patient each morning.
Peak Expiratory Flow (PEF) Evening (Daily Recordings)Average from measurements recorded daily by patient in last 6 weeks of treatment.Peak Expiratory Flow (L/min) as a measure of lung function, measured at home by the patient each evening .
Forced Expiratory Volume in 1 Second (FEV1) Morning (Daily Recordings)Average from measurements recorded daily by patient in last 6 weeks of treatment.Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured at home by the patient each morning.
Forced Expiratory Volume in 1 Second (FEV1) Evening (Daily Recordings)Average from measurements recorded daily by patient in last 6 weeks of treatment.Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured at home by the patient each evening.
Breathlessness, Cough and Sputum Scale (BCSS) Total ScoreAverage from measurements recorded daily by patient in last 6 weeks of treatment.Breathlessness, Cough and Sputum Scale, patient reported questionnaire as a measure of respiratory symptoms (reported on a 0 (best health status) to 12 (worst possible status) scale).
EXAcerbations of Chronic Pulmonary Disease Tool (EXACT) Total ScoreAverage from measurements recorded daily by patient in last 6 weeks of treatment.EXAcerbations of Chronic pulmonary disease Tool, patient questionnaire as a measure of respiratory symptoms (reported as units on a 0 (best health status) to 100 (worst possible status) scale).
St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) Overall ScoreMeasured after 12 weeks treatment (day 84)St George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease, as a measure of Quality of Life (reported on a % scale from 0 (best health status) to 100(worst possible status)).
Percentage of Reliever Free Days in Last Six Weeks of TreatmentAverage from measurements recorded daily by patient in last 6 weeks of treatment.Percentage of reliever free days in last 6 weeks on treatment.
ExacerbationsExacerbations were recorded at all study visits (after 1, 4, 8, and 12 weeks of treatment and at follow up)Number of patients experiencing disease exacerbations on treatment.
Pre-bronchodilator Slow Vital Capacity (SVC)Measured after 12 weeks treatment (day 84)Slow Vital Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).

Countries

Canada, Denmark, Netherlands, Romania, Ukraine

Participant flow

Recruitment details

First patient enrolled: 06 January 2010; Last patient completed: 17 November 2010; Twelve centres across 5 countries participated in this study: Canada (2), Denmark (3), The Netherlands (2), Romania (2) and Ukraine (3).

Pre-assignment details

Tiotropium maintenance therapy and reliever medication were commenced at screening, except for patients on inhaled corticosteroids (ICS, ICS/LABA) who were required to stop these at enrolment and commence on tiotropium and reliever medication at the same time. These patients received tiotropium for a period of at least 3 weeks before screening.

Participants by arm

ArmCount
AZD9668
AZD9668 2x30mg bid
25
Placebo
Placebo 2 tablets bid
27
Total52

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event04
Overall StudyProtocol Violation10
Overall StudyWithdrawal by Subject32

Baseline characteristics

CharacteristicAZD9668PlaceboTotal
Age Continuous7.2 years
STANDARD_DEVIATION 65
7.7 years
STANDARD_DEVIATION 66
7.45 years
STANDARD_DEVIATION 131
Sex: Female, Male
Female
6 Participants10 Participants16 Participants
Sex: Female, Male
Male
19 Participants17 Participants36 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
8 / 258 / 27
serious
Total, serious adverse events
0 / 251 / 27

Outcome results

Primary

AWT-Pi10 (Airway Wall Thickness of a Theoretical Airway With an Internal Perimeter of 10 mm)

AWT-Pi10 (mm) as a measure of structural changes in airways. End of treatment Least Squares Mean.

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668AWT-Pi10 (Airway Wall Thickness of a Theoretical Airway With an Internal Perimeter of 10 mm)3.84 mmStandard Error 0.021
PlaceboAWT-Pi10 (Airway Wall Thickness of a Theoretical Airway With an Internal Perimeter of 10 mm)3.83 mmStandard Error 0.017
Secondary

5th Generation Wall Area Percentage

5th Generation Wall Area Percentage as a measure of structural changes in airways. End of treatment Least Squares Mean.

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD96685th Generation Wall Area Percentage66.21 Percentage AreaStandard Error 0.275
Placebo5th Generation Wall Area Percentage65.94 Percentage AreaStandard Error 0.234
Secondary

Air Trapping Index (ATI) on Expiratory Scans

ATI Percentage as a measure of structural changes in airways. End of treatment Least Squares Mean.

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Air Trapping Index (ATI) on Expiratory Scans54.56 ATI PercentageStandard Error 1.706
PlaceboAir Trapping Index (ATI) on Expiratory Scans57.12 ATI PercentageStandard Error 1.599
Secondary

Breathlessness, Cough and Sputum Scale (BCSS) Total Score

Breathlessness, Cough and Sputum Scale, patient reported questionnaire as a measure of respiratory symptoms (reported on a 0 (best health status) to 12 (worst possible status) scale).

Time frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Breathlessness, Cough and Sputum Scale (BCSS) Total Score2.33 Total ScoreStandard Error 0.319
PlaceboBreathlessness, Cough and Sputum Scale (BCSS) Total Score3.36 Total ScoreStandard Error 0.301
Secondary

Exacerbations

Number of patients experiencing disease exacerbations on treatment.

Time frame: Exacerbations were recorded at all study visits (after 1, 4, 8, and 12 weeks of treatment and at follow up)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (NUMBER)
AZD9668Exacerbations0 Participants
PlaceboExacerbations5 Participants
Secondary

EXAcerbations of Chronic Pulmonary Disease Tool (EXACT) Total Score

EXAcerbations of Chronic pulmonary disease Tool, patient questionnaire as a measure of respiratory symptoms (reported as units on a 0 (best health status) to 100 (worst possible status) scale).

Time frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668EXAcerbations of Chronic Pulmonary Disease Tool (EXACT) Total Score28.48 Total ScoreStandard Error 2.065
PlaceboEXAcerbations of Chronic Pulmonary Disease Tool (EXACT) Total Score33.26 Total ScoreStandard Error 2.013
Secondary

Forced Expiratory Volume in 1 Second (FEV1) Evening (Daily Recordings)

Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured at home by the patient each evening.

Time frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Forced Expiratory Volume in 1 Second (FEV1) Evening (Daily Recordings)1.51 LStandard Error 0.062
PlaceboForced Expiratory Volume in 1 Second (FEV1) Evening (Daily Recordings)1.30 LStandard Error 0.064
Secondary

Forced Expiratory Volume in 1 Second (FEV1) Morning (Daily Recordings)

Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured at home by the patient each morning.

Time frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Forced Expiratory Volume in 1 Second (FEV1) Morning (Daily Recordings)1.49 LStandard Error 0.065
PlaceboForced Expiratory Volume in 1 Second (FEV1) Morning (Daily Recordings)1.29 LStandard Error 0.066
Secondary

Peak Expiratory Flow (PEF) Evening (Daily Recordings)

Peak Expiratory Flow (L/min) as a measure of lung function, measured at home by the patient each evening .

Time frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Peak Expiratory Flow (PEF) Evening (Daily Recordings)264.15 L/minStandard Error 10.02
PlaceboPeak Expiratory Flow (PEF) Evening (Daily Recordings)254.31 L/minStandard Error 9.966
Secondary

Peak Expiratory Flow (PEF) Morning (Daily Recordings)

Peak Expiratory Flow (L/min) as a measure of lung function, measured at home by the patient each morning.

Time frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Peak Expiratory Flow (PEF) Morning (Daily Recordings)255.82 L/minStandard Error 9.956
PlaceboPeak Expiratory Flow (PEF) Morning (Daily Recordings)244.16 L/minStandard Error 9.871
Secondary

Percentage of Reliever Free Days in Last Six Weeks of Treatment

Percentage of reliever free days in last 6 weeks on treatment.

Time frame: Average from measurements recorded daily by patient in last 6 weeks of treatment.

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Percentage of Reliever Free Days in Last Six Weeks of Treatment34.23 percentage of daysStandard Error 6.394
PlaceboPercentage of Reliever Free Days in Last Six Weeks of Treatment26.43 percentage of daysStandard Error 6.001
Secondary

Post-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)

Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Post-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)1.60 LStandard Error 0.05
PlaceboPost-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)1.58 LStandard Error 0.05
Secondary

Post-bronchodilator Forced Vital Capacity (FVC)

Forced Vital Capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Post-bronchodilator Forced Vital Capacity (FVC)3.34 LStandard Error 0.083
PlaceboPost-bronchodilator Forced Vital Capacity (FVC)3.34 LStandard Error 0.08
Secondary

Post-bronchodilator Slow Vital Capacity (SVC)

Slow Vital capacity (L) as a measure of lung function, measured after bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Post-bronchodilator Slow Vital Capacity (SVC)3.56 LStandard Error 0.063
PlaceboPost-bronchodilator Slow Vital Capacity (SVC)3.44 LStandard Error 0.061
Secondary

Pre-bronchodilator Diffusion Capacity of Carbon Monoxide (DLco)

Capacity of Carbon Monoxide as a measure of lung function. End of treatment Least Squares Mean.

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Pre-bronchodilator Diffusion Capacity of Carbon Monoxide (DLco)5.49 mmol/kPa*minStandard Error 0.204
PlaceboPre-bronchodilator Diffusion Capacity of Carbon Monoxide (DLco)5.67 mmol/kPa*minStandard Error 0.209
Secondary

Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)

Forced Expiratory Volume in 1 second (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Pre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)1.51 LStandard Error 0.048
PlaceboPre-bronchodilator Forced Expiratory Volume in 1 Second (FEV1)1.49 LStandard Error 0.05
Secondary

Pre-bronchodilator Forced Vital Capacity (FVC)

Forced Vital Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Pre-bronchodilator Forced Vital Capacity (FVC)3.25 LStandard Error 0.084
PlaceboPre-bronchodilator Forced Vital Capacity (FVC)3.14 LStandard Error 0.083
Secondary

Pre-bronchodilator Functional Residual Capacity (FRC)

Functional Residual Capacity (L) as a measure of lung function. End of treatment Least Squares Mean.

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Pre-bronchodilator Functional Residual Capacity (FRC)4.41 LStandard Error 0.165
PlaceboPre-bronchodilator Functional Residual Capacity (FRC)4.21 LStandard Error 0.158
Secondary

Pre-bronchodilator Inspiratory Capacity (IC)

Inspiratory Capacity (L) as a measure of lung function. End of treatment Least Squares Mean.

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Pre-bronchodilator Inspiratory Capacity (IC)2.56 LStandard Error 0.154
PlaceboPre-bronchodilator Inspiratory Capacity (IC)2.39 LStandard Error 0.153
Secondary

Pre-bronchodilator Residual Volume (RV)

Residual volume (L) as a measure of lung function. End of treatment Least Squares Mean.

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Pre-bronchodilator Residual Volume (RV)3.64 LStandard Error 0.161
PlaceboPre-bronchodilator Residual Volume (RV)3.73 LStandard Error 0.161
Secondary

Pre-bronchodilator Slow Vital Capacity (SVC)

Slow Vital Capacity (L) as a measure of lung function, measured before bronchodilator (salbutamol) use in the clinic. End of treatment value or Last Observation Carried Forward (LOCF).

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Pre-bronchodilator Slow Vital Capacity (SVC)3.42 LStandard Error 0.069
PlaceboPre-bronchodilator Slow Vital Capacity (SVC)3.38 LStandard Error 0.068
Secondary

Pre-bronchodilator Specific Airway Conductance (SGaw)

Specific Airway Conductance as a measure of lung function. End of treatment Least Squares Mean.

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Pre-bronchodilator Specific Airway Conductance (SGaw)0.52 1/[s*kPa]Standard Error 0.034
PlaceboPre-bronchodilator Specific Airway Conductance (SGaw)0.48 1/[s*kPa]Standard Error 0.034
Secondary

Pre-bronchodilator Total Lung Capacity (TLC)

Total Lung Capacity (L) as a measure of lung function. End of treatment Least Squares Mean.

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668Pre-bronchodilator Total Lung Capacity (TLC)7.03 LStandard Error 0.178
PlaceboPre-bronchodilator Total Lung Capacity (TLC)6.92 LStandard Error 0.177
Secondary

St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) Overall Score

St George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease, as a measure of Quality of Life (reported on a % scale from 0 (best health status) to 100(worst possible status)).

Time frame: Measured after 12 weeks treatment (day 84)

Population: The efficacy analysis set for each outcome measure includes those patients who received at least one dose of investigational product and for whom a baseline and at least one post-randomisation measurement is available for that outcome measure. Patients were analysed by to randomised treatment in accordance with the intention to treat principle.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
AZD9668St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) Overall Score35.64 Scores on a scaleStandard Error 2.364
PlaceboSt George's Respiratory Questionnaire for COPD Patients (SGRQ-C) Overall Score39.61 Scores on a scaleStandard Error 2.389

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026